Individual
DR. CLAUDIO MARTINCIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2500 NESCONSET HWY BLDG 14A, STONY BROOK, NY 11790-2554
(631) 751-3000
(631) 509-6559
Mailing address
1500 ROUTE 112 BLDG 4, PORT JEFFERSON STATION, NY 11776-8055
(631) 751-3000
(631) 509-6559
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
202633
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02157275
—
NY
01
—
753AQ1
BCBS
NY
01
—
753AQ2
BCBS
NY
Enumeration date
08/11/2006
Last updated
01/17/2020
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